DR. SONYA KIRMANI MD
NPI 1861712358
Pediatrics - Pediatric Cardiology in Madison, WI
About Dr. Sonya Kirmani Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SONYA KIRMANI MD (NPI 1861712358) is an individual pediatric cardiology provider in Madison, Wisconsin, licensed in Wisconsin (75643-20) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sonya Kirmani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Sonya Kirmani reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin and Michigan enrollments
- Also billed through NPI 1174601876 (Michigan)
- 633 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53792
MADISON, WI 53792
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sonya Kirmani's NPI number?
The NPI number for Sonya Kirmani is 1861712358. It was assigned to this individual provider in the NPPES registry on June 7, 2010.
Where is Sonya Kirmani located?
Sonya Kirmani practices at 1675 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.
What is Sonya Kirmani's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Sonya Kirmani enrolled in Medicare?
Yes. Sonya Kirmani is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sonya Kirmani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Kirmani reassigns Medicare benefits to 6 organizations: Dean Health Systems, Inc (Madison, WI), University Of Wisconsin Medical Foundation, Inc (Middleton, WI), Aurora Medical Group, Inc. (West Allis, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Aspirus Wausau Hospital, Inc. (Stevens Point, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonya Kirmani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonya Kirmani accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and Group Health Cooperative-SCW and 4 other insurers list Sonya Kirmani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sonya Kirmani was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Sonya Kirmani, MD · NPI 1861712358
Pediatric Cardiology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since June 7, 2010.
## Identity
- **NPI:** 1861712358 (Entity type: Individual)
- **Enumerated:** June 7, 2010
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 75643-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 HIGHLAND AVE, Madison, WI 53792-1002
- **Phone:** (608) 263-6420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Dean Health Systems, Inc (NPI 1053358846, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1730184342, Sheboygan, WI); Aspirus Wausau Hospital, Inc. (NPI 1275886749, Stevens Point, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2021
- **Other identifiers:** Medicaid ENROLLED (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1861712358) · Data from the CMS NPPES public registry.